FAQ’s on Male :-

Q. What is impotence or erectile dysfunction [ED] ?

Inability to maintain an erection good enough to complete sexual activity satisfactorily either masturbation, oral / vaginal / sexual.

Q. What are the causes for ED ?

There are two main causes – physical and psychological. Main physical causes includes diabetes, atherosclerosis, alcoholism, side effect of certain drugs, spinal cord injury, prostate gland surgery, etc while psychological causes includes relation ship conflicts , stress and anxiety, depression , sexual boredom etc.

Q. How one can prevent ED ?

With healthy style, no smoking, no alcohol consumption, regular exercise and low fat diet one can prevent ED.

Q. When to see a doctor for ED ?

As soon as the problem is noticed by the man, he should consult a doctor and if he is on treatment for a medical or psychiatric problem one should consult specialist to solve the problem.

Q. What are the treatments for ED ?

The treatment include oral / injectables, mechanical aids, hormonal replacements &/or psychological therapy.

Q. What are the self measures to overcome the problem of ED or How Can I help myself ?

Share your worries by communicating with your partner.
Spend more time with other form of sexual intimacy like kissing, cuddling, licking and massaging.
Seek a doctors help.

Q. What is lack of libido ?

Less interest in sex is called lack of libido or loss of sexual desire.

Q. What are the causes of lack of libido ?

Natural cause – naturally a person has low desire for sex.
Psychological cause – like relationship difficulties , sexual boredom with a partner, depression and stress.
Physical cause – low level of testosterone.

Q. What is premature [rapid] ejaculation ?

Ejaculation which occurs quickly during penetration itself or very soon afterwards is called premature or rapid ejaculation.

Q. What are the treatments for premature ejaculation ?

Sex – therapy.
Stop start [Do-Redo method].
Men should stimulate the penis near the point of ejaculation and then stop for 30-60 seconds and again stimulate it. Repeat the process for five to six times.
Squeeze : Stimulation to penis should be done near the point of ejaculation and then firmly squeeze around the penis just below the head. It has effect of preventing ejaculation.
Medicine : Local anesthetic gel or spray will reduce the penile sensation. Some times antidepressant drugs are also prescribed when a man has some religious reason for not touching the penis with his hand.
Give some tips to reduce the premature ejaculation :-
– Condom, &/or anesthetic spray will reduce the sensitivity of penis.
– Don’t attempt intercourse until your partner had an orgasm.
– Increase frequency of ejaculation [masturbation] this might help to delay subsequent ejaculations.
– Communicate with your partner.
– Do stress relieving exercise.
– Firm determination will also help you to control ejaculation.

Q. What is delayed ejaculation ?

Inability to ejaculate or a delay in ejaculation is called delayed ejaculation.

Q. What are the causes and treatment of delayed ejaculation ?

As described earlier there are mainly two causes :-
Physical causes :-
– Age – Aging is associated with decreased penile sensitivity.
– Drugs – Because of side effects Antidepressant or any other drug.
– Hormone imbalance – It can also lead to delayed ejaculation.
– Nerve damage.
Psychological causes :-
– Performance anxiety.
– Self – consciousness.
– Stress.
– Relationship difficulties.
Treatment :-
– Relaxation exercise.
– Use of vibrator.
– Sex therapy.
– Avoid penetration till the point of ejaculation.
– Check with doctor if you are on any medication.
Please provide healthy guidelines for better sex life and to prevent in / sub fertility.
Following are the few tips :-
Healthy food habit and supplements – Obesity is a major problem in sexual dysfunction, diabetes and hormones.
To keep yourself fit avoid refined carbohydrates, sugar, oil, fatty food etc and take more of protein [chicken, fish for non vegetarians], vegetables, salads etc.
Dietary supplements like multivitamin or multi minerals.
Vitamin E improves blood vessels of penis and also of heart. 400-800 IU vitamin E per day will help in normal erectile function.
Arginine – It increases production of nitric oxide [which expands blood vessels] – and as a result helps in maintaining erection. Dosage is 1000 mg twice a day.
Testosterone – This hormone may increase sexual libido and activity.
Quit smoking / alcohol – Tobacco is having hazardous molecules called free radicals which is associated with in/sub fertility.
– Avoid wearing tight underwear.
– Regular exercise.
– Healthy Life style

Q. What is Viagra and how does it work ?

Viagra [Sildenafil Citrate] is a medicine to restore erectile function, it selectively works on penis. Viagra will work by increasing the smooth muscle relaxation in the penis, and with this efficiency of the erection will increase. PDE-5 [Phosphodiesterase type-5], enzyme exclusively found in penis – Viagra works on this enzyme.
The only contraindication to Viagra is the use of nitrates [sublingual nitroglycerin, long acting nitrates, and nitrate paste]. Both cannot be used at a time. The severe side effect will be drop in blood pressure.
Viagra is taken half an hour before desired sexual activity. The dosage is once a day.
Viagra will work if the man is aroused. 60-70% men with erectile dysfunction can achieve erection with Viagra. One point to be remembered is Viagra has no effect on libido; it will not increase the sex drive.

Q. I do not have erectile problem when I masturbate but it does not work when I am with my partner, why ?

Erection mechanism is complex – it begins in the brain, thoughts and stimuli sends signal to penis through the nervous system. Released chemicals in penis triggers sponge – like tissue in the penis to become filled with blood – which causes erection.
Some time if signals from brain are unclear or other conflicting stimuli prevents the erection. Some worries, anxiety, work pressure, stress or performance anxiety will cause the problem. You can take help of sex therapist, counsellor to rule out the possibilities.

Q. I have pain during intercourse which is causing disturbance in sexual pleasure, please guide me otherwise I am a healthy man ?

This problem needs medical attention.
Pain during intercourse will fall in three categories.
Pain in penis while erection.
It can be because of :-
– Peyronie’s disease – due to this you might also observed curve or Bend in the penis when it is erect.
– Irritation of the skin along the shaft of the penis [balanitis].
– Infection of the prostate gland or urethra either case you should contact the doctor.
Pain during ejaculation / and pain in pelvis.
It can be because of :-
– Infection of the urethra.
– Sexually transmitted disease.

Q. My orgasm is ‘dry’ that is no semen, why ?

A dry orgasm is a sexual climax that does not result in ejaculation that is no discharge of semen. The semen back flows into bladder rather than emerging through penis. This condition is called “Retrograde Ejaculation”. The possible causes for this condition are :-
– Diabetes.
– Prostate surgery.
– Certain medicine [eg.alpha blockers used to treat benign prostatic hyperplasia [BPH].
– Damage to the Prostate or seminal Vesicles [because of Prostatectomy, Cystetomy,Radiation therapy].
In this condition is selected to infertility, and then sperm is recovered from urine for use in artificial insemination.

Q. What is the average size of the penis and is it possible to increase the size, if yes what are the methods ?

Average length of penis is 4 to 8 inches [10-20 centimeters]. Penis size can be increased and there are two procedures, medical and surgical procedures.
Medical Procedure :-
– By repeated stimulation.
– Frequent masturbation.
– Frequent sex.
– Massage with cream, oil etc.
– Vacuum pump.
Surgical Procedure :-
– Fat injection.
– Penile Augmentation surgery.

FAQ’s on Female :-

Q. What are the common sexual problem in women and their percentage of affecting women ?

Low Sex drive or lack of libido or Hypoactive Sexual Desire Disorder (HSDD) – 33.4% Women Affecting.
Difficulty in Orgasm – 24.1% Women Affecting.
Pain during Intercourse – 14.4% Women Affecting.

Q. What are the causes for lack of libido in women ?

There might be physical or psychological factor affecting the sexual life for women and other number of reasons which causes disturbance in sexual life.
Drugs/Medicines – Birth control pills, mood stabilizers, tranquilizers and anti-depressant drugs has affect on sexual desire.
Daily responsibilities – As women plays multiple role in her life like, mother, daughter etc., she is often tired with day to day activities and as a result women lost interest in sex.
Emotional issues – To rule out the possibility, woman must consult a doctor.

Q. What are the causes for sexual problems in women ?

There are mainly two factors – Physical or biological & Psychological factors.
Physical factors are hormonal imbalance as women experience a range of sexual responses for marriage to child birth to menopause. In every step there are chances of hormone imbalance. The other causes include infections, diabetes, multiple sclerosis and side effects and certain drugs.
Psychological factors includes culture, family, personal experiences, job worries, anxiety, pressure of juggling day to day work and family, depression, past sexual abuse or rape. Many factors plays – role for sexual problem. Even one time psychological trouble can create biological or physical problem and vice versa. It is better to consult a doctor at the earliest.

Q. How is sexual problem diagnosed in women ?

Doctor will begin with physical exam, symptoms, pelvic examination and Pap smear. Counsellors will look into other possibility for psychological factors such as fear, anxiety, relationship problems, past sexual trauma or abuse etc.Depending upon the cause, treatment starts.

Q. What are the treatments for women’s sexual problems ?

Doctors, Counsellors and Sex therapist first see the cause for the problem. If a cause is physical or biological, doctors treat accordingly. Like for e.g. If a lady has a pain during coitus, it can be reduced by applying lubricants. Psychological cause can be treated by providing education, enhancing stimulation, proving sexual behavior therapy and encouraging non-coital behaviors.

Q. Can women’s sexual problem cured ?

The success of treatment depends upon the cause of the problem. Problems related to stress, fear or anxiety can be successfully treated with Counselling, education and improved communication between partners. Biological problems, needs attention of specialist doctors and with proper treatment it can be cured.

Q. What is the role of hormones in women’s sexual function ?

Hormones play a critical role in regulating sexual function. Decrease level of Estrogen related to aging and menopause and with that women might experience dryness in vagina and less sensation. Low level of testosterone is often related to problems like decline in sexual arousal, genital sensation and orgasm.

Q. After my hysterectomy operation, I feel less desire for sex, why ?

Hysterectomy (surgical removal of uterus) is associated with change in hormone level. Sometimes nerves and blood vessels might be damaged during operation. As a result, lady will feel changes in her body which includes loss of desire, decreased vaginal lubrication and genital sensation.

Q. am a lady approaching menopause, does it will affect my sexual life, if yes, what is the treatment ?

After the menopause following changes will be happening in the body.
– Loss of hormone estrogen.
– Emotional changes.
These both conditions will lead to loss of libido and ability to become aroused.Hormones replacement therapy and vaginal lubricants will improve the condition and sexual problem will be solved. In fact, you can enjoy a sexual life more because there is no fear of getting pregnant and thus you can relax and enjoy intimacy.

Q. For my sexual problem doctor asked me to take sex therapy – My question is what happens at a sex therapy session? And will it be helpful to me?

Your doctor must have identified your psychological problem and asked you to take help of sex therapist. Sex therapist will design a exercise for your problem and that you have to do at home. In next session therapist will discuss about your progress and accordingly decide the next step. Please, you should not get worry about any sexual activity during the session. You need to follow instruction and have to do exercise at home only. It will be definitely helpful to have a better sexual life. It will give better relaxation and 93% couples overcome with their problem.

Q. I am 33 years old woman, married from last 3½ years; my question is I never had orgasm, why ?

This is mainly because of psychological factor. It mostly depends on women herself – that how she can relax, to be in the mood and enjoy the sex. Different sex position, long fore play, communication with partner will help to overcome the problem. Or you can take help of doctor.

Q. I want to know about are the hormones involved causing sexual problems ?

Mind processes sexual information to the body – which is poorly understood and why we respond to sexual feeling, moods, pictures, videos and books are also a complex phenomena.
Following are the hormones required for good sexual life :-

• Testosterone – It is necessary for sexual feelings and response.
• Estrogen – It is made from testosterone and woman having normal menstrual cycle confirms the estrogen as well as testosterone. Estrogen is necessary for the genital response and for breast response to sexual stimulation. Estrogen is required for blood supply to vaginal wall and as a result vagina secretes a lubricating fluid.
• Protection – Pituitary gland produces prolactin and high amount of prolactin is associated with absent or irregular periods or difficulty in conceiving.
• Thyroid hormones – Correct amount of this hormone is required for sexual feelings and responses. In women with under active thyroid glands, the common sexual problem will be less libido and lowered sexual response.